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ARCHIVED REPORTS XR0011340
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DURHAM FERRY
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1600
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3500 - Local Oversight Program
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PR0544624
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ARCHIVED REPORTS XR0011340
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Entry Properties
Last modified
7/3/2019 6:03:11 PM
Creation date
7/3/2019 3:52:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011340
RECORD_ID
PR0544624
PE
3526
FACILITY_ID
FA0005206
FACILITY_NAME
GEORGES SERVICE
STREET_NUMBER
1600
Direction
W
STREET_NAME
DURHAM FERRY
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
25510004
CURRENT_STATUS
02
SITE_LOCATION
1600 W DURHAM FERRY RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\wng
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EHD - Public
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- ANALYTICAL REQUEST/SAMPLE CHAIN OF CUSTODY - ' _ LAB TRACKING I <br /> RECORD_ OF DATE RELIEVED- <br /> -i <br /> ` DEL-TECH GEOTECHNICAL LAB INVOICE To �:" <br /> C NICAL SUPPORT SERVICES ` s� � <br /> 10624 OLIVIr AVUNUE,OA%I?ALE,CA 95361 �t '- — :!- _ <br /> r OFFICE .�._} � _ = -' � <br /> FAX_(209)847-7744 - - - _ PH 8 [- - CONTACT ..wxL r s= : <br /> _CALIFORNIA CONTRACTORS LICENSE 8 657366/CLASS"A"ENGINEERING � r t <br /> LAJL ANALYSIS UQtH+31 FFn _ <br /> SITE SAMPLINGMAP. <br /> 1 [�.ffi+Pf "-fir <br /> a <br /> CONSULTANT _,sna �, <br /> _ <br /> a f�j—� <br /> STf$NAhfz A PROJECT ► • -" _ - <br /> e r ADDRESS: 66v CITY ST <br /> F ��-+VIA <br /> ,Q <br /> s' S1IlPPSD Wf1 YBILI.# ...........�� U" A O'3 <br /> �ANALYSISBY. TURNAROUND TIIKE. DAY <br /> °f SSMrI�I.0 o - DATE nug CONTAVMR9 n7E HAT= I !I III I I I� I�iili(I II I I I I REMARKS/LAB.I D. <br /> 7) _ t YFV YY <br /> 9) ! <br /> ]2) r. L <br /> 13) <br /> 14) 4 b D <br /> IS, 5 <br /> t itE[.IPIIpUL4R'D8Y �` RHtFIVF�HY lv5""— SAMPLE INTEGRI /CONDI ION <br /> s° ! J <br /> IM (SIGNATURE) r/ v y y .Z. j RECEIVED COLD&INTACI f Y85 No ( <br /> -07DA 7"ILYEE <br /> rRE;UNWISHEaD <br /> SHL77 BY R6CTIfVFD er AlR BUBBI�S IN V O A S / YES ( NO LIN A <br /> 1 (M]NATURE) CUSTODY SEALS ENTACT f YES NO ( NIA <br /> DATEITA(E <br /> 91 � RBCEi1VEDB1 PRESERVATIVES USED ! YES NO <br /> I (SKINATURE) V <br /> NOTE PE EASE ARCHIVE THE SAMPLES SUBMITTED FOR THE FULL HOLDING TIME ALLOWED UNLESS OTHER ARRANGEMENTS ARE MADE 4` (MT B E,T A M.E,E T B L,D IPE,T B.A) <br /> B B �BAII ER BLANKS COLLECTED IN THE FIELD F B �FIELD BLANKS COLLECTED IN THE FIELD <br /> PINK FIELD COPI "H[TE R I ELLOI4 TO LAB WITH SAMPLES 1 ELI OW RETURN TO CLIENT IA II H RESULTS DEI TECH C O C FORM%8 <br /> I <br />
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